焦白术(三两) 人参(一两) 扁豆(一两) 莲子(一两半) 茯苓(一两半) 山药(一两) 芡实
(二两半) 陈皮(二两) 神曲(二两) 山楂(二两) 薏苡仁(三两) 麦芽(一两半) 黄连(三两半)
泽泻(四钱) 藿香(五钱) 桔梗(五钱)
炙甘草(五钱) 白 蔻(四钱)
蜜丸,每日早晚米饮送下。
脏治者,五脏中有病而治之者也。脏有五,治法惟三∶脾肺同一治,肾肝同一治,心肾同一治也。
(肺气之伤,必补脾气;脾气既伤,肺气亦困;故补肺必须补脾,补脾必须补肺也。)如人咳嗽不已,吐泻
不已,此肺脾之伤也。人以为咳嗽宜治肺,吐泻宜治脾。殊不知咳嗽由于脾气之衰,斡旋之令不行,则上为咳嗽
矣。吐泻由于肺气之弱,整肃之令不行,则上吐而下泻矣。方用∶
人参(一钱) 麦冬(三钱) 茯苓(三钱) 柴胡(一钱) 神曲(五分) 车前子(一钱) 薏苡仁(一钱)
甘草(一钱)
水煎服。
此方乃治肺、治脾之药,合而用之,咳嗽、喘病之尽除,呕吐、泻症之各去,所谓一方而两用之也。
肾肝同治者,肾水亏不能滋肝木,则肝木抑郁而不舒,必有两胁饱闷之症。肝木郁不能生肾中之火,则肾水
日寒,必有腰背难于俯仰之症。〔故补肝必须补肾中之水;补肾中之水又不可不补肝木。倘补肝而不补肾,则胁
痛何以顿除?补肾而不补肝,则腰脊何以立愈?〕
方用∶
熟地(一两) 山萸(五钱) 当归(五钱) 白芍(五钱) 柴胡(二钱) 肉桂(一钱)
水煎服。
此方熟地、山萸,补肾之药;当归、白芍、柴胡、肉桂,补肝之品。既云平肝补肾,似乎用药不宜有轻重,
今补肝之品多于补肾者何也?盖肾为肝之母,肝又为命门之母也,岂有肝木旺而不生命门之火者哉?〔命门是一
身主宰,当生五脏之气,不宜为五脏所生。然而五脏叠为生克,肝既是木,岂有木不能生命门之火乎?此有至理存焉,
愿世人勿惊为创说奇闻,而疑为不可执之以治病也。〕
焦白术(三两) 人参(一两) 扁豆(一两) 莲子(一两半) 茯苓(一两半) 山药(一两) 芡实(二两半) 陈皮(二两) 神曲(二两) 山楂(二两) 薏苡仁(三两) 麦芽(一两半) 黄连(三两半) 泽泻(四钱) 藿香(五钱) 桔梗(五钱) 炙甘草(五钱) 白蔻(四钱)。
制成蜜丸,每日早晚用米汤送服。
所谓“脏治”,是指针对五脏中具体病变进行治疗的方法。五脏共有五种,但治疗方法归纳为三种:脾与肺采用同一治法,肾与肝采用同一治法,心与肾采用同一治法。
(肺气的损伤,必然需要补益脾气;脾气既然受损,肺气也会困顿;因此补肺必须同时补脾,补脾也必须兼顾补肺。)例如有人咳嗽不止,呕吐腹泻不停,这是肺和脾都受了损伤。人们通常认为咳嗽应当治疗肺,呕吐腹泻应当治疗脾。却不知道咳嗽是由于脾气衰弱,斡旋气机的功能失常,导致气逆上冲而引发咳嗽。呕吐腹泻是由于肺气虚弱,整肃气机的功能失常,导致上吐下泻。方剂使用:
人参(一钱) 麦冬(三钱) 茯苓(三钱) 柴胡(一钱) 神曲(五分) 车前子(一钱) 薏苡仁(一钱) 甘草(一钱)。
水煎后服用。
这个方子是治疗肺、治疗脾的药物组合使用,能使咳嗽、气喘病彻底消除,呕吐、腹泻症状各自去除,这就是所谓一方两用。
肾肝同治,是因为肾水亏虚不能滋养肝木,导致肝木抑郁而不能舒展,必然出现两胁部胀满闷痛的症状。肝木郁结不能生发肾中的命门之火,导致肾水日益寒冷,必然出现腰背部难以俯仰的症状。(因此补肝必须补肾中的阴水;补肾中的阴水又不可不补肝木。如果只补肝而不补肾,胁痛怎么能立刻消除?如果只补肾而不补肝,腰脊怎么能立刻痊愈?)
方剂使用:
熟地黄(一两) 山茱萸(五钱) 当归(五钱) 白芍(五钱) 柴胡(二钱) 肉桂(一钱)。
水煎后服用。
这个方子中,熟地黄、山茱萸是补肾的药物;当归、白芍、柴胡、肉桂是补肝的药材。既然说是平肝补肾,似乎用药不宜有轻重之分,现在补肝的药材多于补肾的药材,为什么呢?因为肾是肝的母亲,肝又是命门的母亲,难道有肝木旺盛却不生发命门之火的吗?(命门是一身的主宰,应当生发五脏之气,不应当被五脏所生。然而五脏之间层层相生相克,肝既然是木,难道木不能生发命门之火吗?这其中蕴含至深的道理,希望世人不要惊讶将其视为创说奇闻,而怀疑其不可用于治病。)
Jiao Baizhu (Fried Atractylodis Macrocephalae Rhizoma, 3 liang), Renshen (Ginseng Radix et Rhizoma, 1 liang), Bian Dou (Dolichos Lablab Seed, 1 liang), Lian Zi (Nelumbinis Semen, 1.5 liang), Fuling (Poria, 1.5 liang), Shanyao (Dioscoreae Oppositae Rhizoma, 1 liang), Qianshi (Euryales Semen, 2.5 liang), Chenpi (Citri Reticulatae Pericarpium, 2 liang), Shenqu (Massa Medicata Fermentata, 2 liang), Shanzha (Crataegi Fructus, 2 liang), Yiyiren (Coicis Semen, 3 liang), Maiya (Hordei Fructus Germinatus, 1.5 liang), Huanglian (Coptidis Rhizoma, 3.5 liang), Zexie (Alismatis Rhizoma, 4 qian), Huoxiang (Agastaches Herba, 5 qian), Jiegeng (Platycodonis Radix, 5 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 5 qian), Bai Kou (Amomi Fructus Rotundus, 4 qian).
Made into honey pills, taken with rice water morning and evening daily.
The so-called "Zang treatment" refers to treating diseases located within the five Zang organs. There are five Zang organs, but the treatment methods can be categorized into three: Pi and Fei share the same treatment principle; Shen and Gan share the same treatment principle; Xin and Shen share the same treatment principle.
(Injury to Fei Qi inevitably requires tonifying Pi Qi; once Pi Qi is injured, Fei Qi also becomes constrained; therefore, tonifying Fei must involve tonifying Pi, and tonifying Pi must involve tonifying Fei.) For instance, if a person suffers from incessant coughing and continuous vomiting and diarrhea, this indicates injury to both Fei and Pi. People generally believe that coughing should be treated by addressing the Fei, while vomiting and diarrhea should be treated by addressing the Pi. However, they do not realize that coughing arises from the decline of Pi Qi, where the function of rotating and transforming Qi fails, leading to rebellious Qi rising upwards causing cough. Vomiting and diarrhea arise from the weakness of Fei Qi, where the function of regulating and descending Qi fails, leading to vomiting above and diarrhea below. The prescription used is:
Renshen (Ginseng Radix et Rhizoma, 1 qian), Maidong (Ophiopogonis Radix, 3 qian), Fuling (Poria, 3 qian), Chaihu (Bupleuri Radix, 1 qian), Shenqu (Massa Medicata Fermentata, 5 fen), Cheqianzi (Plantaginis Semen, 1 qian), Yiyiren (Coicis Semen, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Decoct in water and take orally.
This prescription combines herbs for treating Fei and herbs for treating Pi. When used together, it completely eliminates coughing and asthma, and removes vomiting and diarrhea symptoms individually. This is what is meant by "one prescription serving two purposes."
Treating Shen and Gan simultaneously is because when Shen Water is deficient and cannot nourish Gan Wood, Gan Wood becomes depressed and unable to flow freely, inevitably resulting in symptoms of fullness and distension in the hypochondrium. If Gan Wood is stagnant and cannot generate the Fire of Mingmen within Shen, Shen Water will become increasingly cold day by day, inevitably resulting in symptoms of difficulty in bending and extending the waist and back. (Therefore, tonifying Gan must involve tonifying the Yin Water within Shen; and tonifying the Yin Water within Shen must not neglect tonifying Gan Wood. If one tonifies Gan without tonifying Shen, how can hypochondriac pain be instantly relieved? If one tonifies Shen without tonifying Gan, how can the waist and spine be instantly healed?)
The prescription used is:
Shudi (Prepared Rehmanniae Radix, 1 liang), Shanzhuyu (Corni Fructus, 5 qian), Danggui (Angelicae Sinensis Radix, 5 qian), Baishao (Paeoniae Radix Alba, 5 qian), Chaihu (Bupleuri Radix, 2 qian), Rougui (Cinnamomi Cortex, 1 qian).
Decoct in water and take orally.
In this prescription, Shudi and Shanzhuyu are herbs for tonifying Shen; Danggui, Baishao, Chaihu, and Rougui are herbs for tonifying Gan. Since it is described as "soothing Gan and tonifying Shen," one might assume there should be no disparity in the weight or dosage of the herbs. Why are there more herbs for tonifying Gan than for tonifying Shen here? It is because Shen is the mother of Gan, and Gan is the mother of Mingmen. How could vigorous Gan Wood fail to generate the Fire of Mingmen? (Mingmen is the master of the whole body; it should generate the Qi of the five Zang organs and should not be generated by them. However, the five Zang organs interact through mutual generation and restriction. Since Gan belongs to Wood, how could Wood fail to generate the Fire of Mingmen? There lies profound truth in this. I hope people will not be surprised by this novel theory, nor doubt its applicability in treating diseases.)